Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $275.42	Professional		$128.82	$154.88	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $204.17	Professional		$120.23	$147.91	$204.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $125.89	Facility		$117.49	$117.49	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,122.02 / $1,445.44	Facility		$229.09	$1,122.02	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $426.58	Professional		$138.04	$229.09	$426.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $19,498.45 / $19,498.45	Facility		$4,897.79	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $239.88 / $1,202.26	Facility		$128.82	$239.88	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $234.42	Professional		$128.82	$147.91	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $112.20	Professional		$32.36	$33.11	$112.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $309.03 / $501.19	Professional		$177.83	$309.03	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $218.78 / $416.87	Facility		$128.82	$218.78	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $416.87	Professional		$138.04	$234.42	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $302.00	Professional		$114.82	$169.82	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $147.91	Professional		$102.33	$123.03	$147.91